Motivational Interviewing: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
<div class="editorbox"> | |||
'''Original Editor '''- Your name will be added here if you created the original content for this page. | |||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | |||
</div> | |||
== Description<br> == | |||
add text here to describe the intervention here<br> | |||
== Indication<br> == | |||
add text here relating to the indication for the intervention<br> | |||
== Clinical Presentation == | |||
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures. | |||
== Key Evidence == | |||
add text here relating to key evidence with regards to any of the above headings<br> | |||
== Resources == | |||
add appropriate resources here, including text links or content demonstrating the intervention or technique | |||
== Case Studies == | |||
add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | |||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | |||
<div class="researchbox"> | |||
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | |||
</div> | |||
== References == | |||
References will automatically be added here, see [[Adding References|adding references tutorial]]. | |||
<references /> | |||
<div class="editorbox"> | <div class="editorbox"> | ||
'''Original Editors '''- [[User:George Prudden|George Prudden]] | '''Original Editors '''- [[User:George Prudden|George Prudden]] | ||
Revision as of 17:18, 10 February 2016
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - George Prudden, Kim Jackson, Laura Ritchie, Shaimaa Eldib, Suzanna Prevett, Tony Lowe, Wendy Walker, Evan Thomas, Michelle Lee, Tarina van der Stockt, WikiSysop, Rucha Gadgil, Jess Bell, Robin Tacchetti and Rishika Babburu
Description
[edit | edit source]
add text here to describe the intervention here
Indication
[edit | edit source]
add text here relating to the indication for the intervention
Clinical Presentation[edit | edit source]
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources[edit | edit source]
add appropriate resources here, including text links or content demonstrating the intervention or technique
Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
Recent Related Research (from Pubmed)[edit | edit source]
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
Original Editors - George Prudden
Top Contributors - George Prudden, Kim Jackson, Laura Ritchie, Shaimaa Eldib, Suzanna Prevett, Tony Lowe, Wendy Walker, Evan Thomas, Michelle Lee, Tarina van der Stockt, WikiSysop, Rucha Gadgil, Jess Bell, Robin Tacchetti and Rishika Babburu
Motivational interviewing (MI) is a behavioural change intervention that is growing popularity within physiotherapy practice. Rollnick and Miller[1] describe MI as 'a directive, client-centred counseling style for eliciting behaviour change by helping clients explore and resolve abivalence'. MI has been used across various conditions such as diabetes, asthma, cardiac rehabilitation[2]. Eighty per cent of studies have found that MI has superior outcomes when compared to tradition educational approaches[3].
Key concepts
[edit | edit source]
Ambivalence[edit | edit source]
A conflict between two courses of action each of which has perceived costs and benefits associated with it. An example might be going for a jog: the benefits would be all of the health gains, however, a cost might be the perceived risk of social embarassment. Unresolved ambivalence is often why clients are unable to commit to behavioural change. How a therapist handles a clients ambivalence may influence outcomes.[4]
Righting reflex[edit | edit source]
Therapists have the desire to want to help the people under their care and this is often and unhelpfully expressed as the 'righting reflex'. Clinicians beliefs and aspirations for the patient determine the use of language and interventions used. When a therapist sees discrepancy between how things are and how they ought to be they want to fix it.
When patient ambivalence is confronted by the righting reflex of the therapist, outcomes tend to be poor. Patients can feel unvalidated, want to resist the clinician, or withdraw from the consultation. Ultimately, people want to be understood and accepted without judgement[5]
Case studies[edit | edit source]
- Obesity
- Physical inactivity (i) (ii)
- Shoulder and neck pain
- Homelessness
- Schizophrenia
- Palliative care
- Intraveneous drug abuse
References[edit | edit source]
- ↑ Rollnick S, Miller WR. What is Motivational interviewing? Behavioural and Cognitive Psychotherapy. 1995 Oct;23(04):325.
- ↑ Chilton R, Pires-Yfantouda R, Wylie M. A systematic review of motivational interviewing within musculoskeletal health. Psychology, Health and Medicine. 2012 Aug;17(4):392–407.
- ↑ Lauritzen T, Rubak S, Sandbæk A, Christensen B. Motivational interviewing: A systematic review and meta-analysis. Review Article. 2005 Apr 1 [cited 2016 Feb 2];55(513):305–312. Available from: http://bjgp.org/content/55/513/305.short.
- ↑ Miller and Rollnick (2013) Motivational Interviewing: Preparing people for change. 3rd ed Guilford Press
- ↑ Rogers, C.R. (1951) Client-centred Therapy. Boston: Houghton-Mifflin
